MEDICARE: HARRY SING LEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	186673-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396746566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY SING LEE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 28082 SUITE 204
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-3158
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:	212-987-1799

Provider Business Practice Location Address
First Line	:	200 W 57TH ST FL 10
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-3211
Country	:	US
Telephone Number	:	212-523-6333
Fax Number	:	212-523-5784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	06/17/2019

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